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HEATHER ANN GALLANT
NPI 1912692872
Nurse Practitioner in Appleton, WI

Active since April 06, 2023PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST STE 130, APPLETON, WI 54911(920) 831-1841 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Heather Ann Gallant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER ANN GALLANT (NPI 1912692872) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (13823) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912692872
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER ANN GALLANT
Location Address1818 N MEADE ST STE 130Appleton, WI 54911-3454
Mailing Address1818 N Meade StAppleton, WI 54911-3454 · (920) 410-7310
Phone(920) 831-1841
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 6, 2023
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1912692872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13823
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 13823-33 (WI)
1818 N MEADE ST STE 130, Appleton, WI 54911
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Ann Gallant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355795410
PECOS Enrollment IDI20230925001017
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Gallant's NPI number?

The NPI number for Heather Gallant is 1912692872. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Heather Gallant located?

Heather Gallant practices at 1818 N Meade St Ste 130, Appleton, WI 54911. The listed phone number is (920) 831-1841.

What is Heather Gallant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Gallant enrolled in Medicare?

Yes. Heather Gallant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Gallant accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Heather Gallant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Gallant affiliated with any hospitals?

According to CMS data, Heather Gallant is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - New London.

When was this NPI record last updated?

The NPPES record for Heather Gallant was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.